Individual provider Active NPI

Brandon B Or, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1346734845
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008767-1 Issued in NY
Practice address
682 Union St
Brooklyn, NY 11215-2047
Phone
(347) 560-8393
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV008767-1 NY Primary

Addresses

Primary practice location

682 Union St
Brooklyn, NY 11215-2047

Mailing address

2020 86TH St
Brooklyn, NY 11214-3204
Phone (718) 619-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408001382 NY Practitioner - Optometry 6709127442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BV at 86 Optical Ny IncGroup PAC ID 1153612130, 3 clinicians

Practice addresses (Care Compare)

2020 86TH St
Brooklyn, NY 11214-3204
Phone (718) 619-8855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008767-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NK Optometry PLLC Optometrist CurrentSince Nov 11, 2022 Accepting new patients
Corona Optometry, PC Optometrist CurrentSince Aug 10, 2022 Accepting new patients
Corona Optometry PC Optometrist Past Accepting new patients
Bazan Optometric Services LLC Optometrist Past Accepting new patients
Park Slope Eye, Optometric PLLC Optometrist PastSince Jun 26, 2011 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

233B E 149th St
Bronx, NY 10451
Phone (407) 574-0433

326 7th St
Fl 2
Brooklyn, NY 11215
Phone (718) 489-6290

10306 Roosevelt Ave
Corona, NY 11368
Phone (718) 424-1333

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1346734845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143204",
            "telephone_number": "718-619-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152047",
            "telephone_number": "347-560-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OR",
        "first_name": "BRANDON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.